Estrella Internal Medicine and Pediatrics PC

NPI #1669426565 in Goodyear, Arizona

Provider Information

NPI Number: 1669426565
Entity Type: Organization
Organization Name: Estrella Internal Medicine and Pediatrics PC
Primary Specialty: Internal Medicine
Enumeration Date: May 22, 2006
Last Updated: Nov 13, 2008

Practice Location

Address: 14541 W INDIAN SCHOOL ROAD
Address 2: STE 600
City: Goodyear
State: Arizona
ZIP Code: 85338-9243
Phone: (623) 535-5599

Authorized Official

Name: DR. KENT M JOHNSON, M.D.
Title: PRESIDENT
Phone: (623) 535-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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